Prostatitis

Acute prostatitis is a sudden bacterial infection of the prostate. Symptoms include pain, fever and urinary problems. It usually needs antibiotics for around two to four weeks.

Fluoroquinolone antibiotics (e.g. ciprofloxacin) are often prescribed but carry risks such as tendon damage, nerve pain and heart rhythm problems. Patients should be advised by the pharmacist on what to look out for. Pharmacy technicians can support by checking interactions on dispensing PMR systems and ensuring counselling is given.

Chronic prostatis sometimes known as chronic pelvic pain syndrome, is a long-term condition causing ongoing pelvic or urinary discomfort. It is not usually triggered by bacteria. Treatment is varied and can include pain relief, physiotherapy or counselling. 

Pharmacy technicians can help by signposting to self care resources and offering reassurance that it is not cancer or a sexually transmitted infection. The prostate-specific antigen (PSA) test is a blood test that can help detect prostate problems. It is not perfect and needs careful interpretation by healthcare professionals.

PSA levels rise with age and can be affected by infection, recent ejaculation or vigorous exercise. Men should not have a PSA test for at least six weeks after a urine infection.

It must be stressed that a high PSA level does not always mean cancer. However, neither does a low PSA level always rule cancer out.

Patients often feel anxious about results. A calm, supportive approach in the pharmacy can make a big difference.